APC 5521
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Level 1 Imaging without Contrast
Low
$51
Average
$171
Median
$115
High
$2.9k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
67 hospitals; the 90th percentile is 2.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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69 hospital rates
iThe hospitals that file a Caresource rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Adventhealth Gordon Calhoun, GA other · outpatient | 1 | $94 | $94 | — | — | 1–10 | $94 – $94 |
| 2 | Adventhealth Murray Chatsworth, GA other · outpatient | 1 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 3 | Adventhealth Redmond Rome, GA other · outpatient | 1 | $93 | $93 | — | — | 1–10 | $93 – $93 |
| 4 | Berger Hospital Circleville, OH other · outpatient | 3 | $66 | $118 | $75 | 63% | 179–197 | $65 – $224 |
| 5 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 2 | $87 | $87 | $21 | 25% | 865 | $65 – $108 |
| 6 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $92 | $92 | $0 | 0% | — | $92 – $92 |
| 7 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 1 | $142 | $142 | — | — | 65 | $142 – $142 |
| 8 | Clinton Memorial Hospital Wilmington, OH other · outpatient | 3 | $83 | $86 | $15 | 18% | 97–115 | $69 – $106 |
| 9 | DEKALB MEDICAL CENTER, INC Lithonia, GA facility · other · outpatient | 1 | $104 | $104 | — | — | 45 | $104 – $104 |
| 10 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · other · outpatient | 1 | $197 | $197 | — | — | 40 | $197 – $197 |
| 11 | Doctors Hospital Columbus, OH other · outpatient | 3 | $85 | $134 | $85 | 63% | 760–769 | $64 – $253 |
| 12 | Dublin Methodist Hospital Dublin, OH other · outpatient | 3 | $111 | $107 | $32 | 30% | 192–210 | $66 – $144 |
| 13 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · other · outpatient | 1 | $181 | $181 | — | — | 15 | $181 – $181 |
| 14 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 1 | $120 | $120 | — | — | 39 | $120 – $120 |
| 15 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 2 | $118 | $118 | $32 | 27% | — | $86 – $149 |
| 16 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 2 | $109 | $2.9k | $3.5k | 118% | — | $86 – $7.9k |
| 17 | Grady Memorial Hospital Delaware, OH other · outpatient | 3 | $79 | $109 | $44 | 40% | 204–222 | $77 – $171 |
| 18 | Grant Medical Center Columbus, OH other · outpatient | 3 | $86 | $97 | $27 | 28% | 1,349 | $71 – $135 |
| 19 | Grove City Methodist Grove City, OH other · outpatient | 3 | $85 | $134 | $85 | 63% | 760–769 | $64 – $253 |
| 20 | Hamilton Medical Center Dalton, GA facility · other · outpatient | 1 | $80 | $80 | — | — | 238 | $80 – $80 |
| 21 | Hardin Memorial Hospital Kenton, OH other · outpatient | 2 | $251 | $251 | $155 | 62% | 165 | $96 – $405 |
| 22 | Marietta Memorial Hospital Belpre, OH facility · other · outpatient | 1 | $169 | $169 | — | — | 1,056 | $169 – $169 |
| 23 | Marion General Hospital Marion, OH other · outpatient | 3 | $66 | $118 | $73 | 62% | 1,042 | $66 – $221 |
| 24 | Mary Rutan Hospital Bellefontaine, OH other · outpatient | 1 | $72 | $72 | — | — | 876 | $72 – $72 |
| 25 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · other · outpatient | 2 | $68 | $68 | $1 | 2% | 168–177 | $67 – $69 |
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